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Nicole Moran

Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).

NPI number1013559699
StatusActive
Last updated in NPPESOct 15, 2019

Details

NPI
1013559699
Entity type
Individual (NPI-1)
Name
Nicole Moran
Sex
Female
Sole proprietor
No
Enumeration date
Oct 15, 2019
Last updated
Oct 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6363 S Pecos Rd Ste 206
Las Vegas, NV 89120-6293

Phone 702-850-2691

Mailing address

6363 S Pecos Rd Ste 206
Las Vegas, NV 89120-6293

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